Magnetic resonance imaging in the diagnosis of brain abnormalities in patients with severe preeclampsia


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Abstract

Objective. To investigate the prospect of using brain MRI to improve the accuracy of the brain lesions diagnosis in patients with preeclampsia. Material and methods. This retrospective study comprised 36 pregnant and puerperal women with severe preeclampsia who underwent brain MRI. Results. A total of 47.2% of patients, who had PE with neurological manifestations were found to have MRI-detected brain abnormalities; 88% of them, including PRES (13.9%), stroke (5.6%), and vascular lesions (22.2%) were associated with arterial hypertension. In 66.7% of patients, preeclampsia was atypical. Conclusion. Using brain MRI in patients with PE who have neurological manifestations results in more accurate assessment of its severity, timely delivery, and appropriate therapy, which may contribute to a reduction in the incidence of severe PE complications, in particular in the incidence of a cerebral hemorrhage.

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About the authors

Raisa I. Shalina

N.I. Pirogov RNRMU of Minzdrav of Russia

Email: raisa.shalina@gmail.com
MD, professor at the Department of Obstetrics and Gynecology, Pediatric Faculty

Mark A. Kurtser

N.I. Pirogov RNRMU of Minzdrav of Russia

Email: m.kurtser@mcclinics.ru
professor, head of the Department of Obstetrics and Gynecology, Pediatric Faculty

Mariya A. Simukhina

N.I. Pirogov RNRMU of Minzdrav of Russia

Email: msimuhina@gmil.com
PhD, student at the Department of Obstetrics and Gynecology, Pediatric Faculty

Oleg A. Latyshkevich

N.I. Pirogov RNRMU of Minzdrav of Russia

Email: agpf.gms@gmail.com
PhD, teaching assistant at the Department of Obstetrics and Gynecology, Pediatric Faculty

Evgenii V. Lebedev

N.I. Pirogov RNRMU of Minzdrav of Russia

Email: agpf.gms@gmail.com
associate professor at the Department of Obstetrics and Gynecology, Pediatric Faculty

Andrei M. Shtabnitskii

Perinatal Medical Center

deputy chief physician for Anesthesiology and Intensive Care

Igor’ V. Platitsyn

Lapino Clinical Hospital

PhD, head of Diagnostic Imaging 4

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